Registrant Details

• * Registration Type
  Please choose New Member €55 Individual Member €55 Couple Membership : 2 x €55 Student in full-time Education/Unemployed €30 Associate Member €10
• MI Number
• * Name
• * Address
• * Date of Birth

  (please use format 31/10/1980)

• Phone Number
  (note if you wish to receive text notifications, this must be an Irish mobile number)
• * Email
• * Second Member Name
  (Only for couple member applications)
• * Second Member Date of Birth

  (Only for couple member applications, please use format 31/10/1980)

• Second Member Phone Number
  (Only for couple member applications. Note if you wish to receive text notifications, this must be an Irish mobile number)
• * Second Member Email
  (Only for couple member applications)
• *
  On behalf of the above-named person(s), I acknowledge that hillwalking, climbing and mountaineering are activities with a risk of personal injury or death. I accept these risks and understand that I am responsible for my own actions and participation in Club activities
• I agree to the retention of my personal information in Club and Mountaineering Ireland databases.
• I wish to receive text and e-mail notifications from the club
• I wish to receive the Mountain Log by post (one per household unless individual copies requested).

  If you have any queries related to registration, please email us at wexfordhillwalkingclub@gmail.com